1. Flail chest: Monitor pulse oximetry and blood gases, intubate and ventilate if there is hypoxia or respiratory distress. Consider early intubation in elderly or severe multitrauma patients. 2. Open, sucking/blowing wound in the chest wall: Do not suture or pack before thoracostomy tube insertion. Danger of tension pneumothorax! A Square gauze taped on only 3 sides can be applied while preparing for chest tube insertion. 3. Tension pneumothorax: Initial decompression with needle insertion through the
Platelets should be transfused at a rate of 10 milliliters per minute for approximately 30 minutes, explains the Department of Pathology at the University of Michigan Health System.
â Usually 4-6 units of platelets or 1 unit of apheresis platelets raises platelet count by 50-100K/Î¼L; if no rise in platelet count after 1 hour, cause is likely immune-mediated. â If platelet count increases after 1 hour but drops after 24 hours, cause is likely consumption. Evaluation of platelet refractoriness.